Rate of Delayed Union With Early Weightbearing Following Intramedullary Screw Fixation of Jones Fractures. General Orthopaedics. This article also looks at foot care tips. Each metatarsal bone has a base located next to the heel, a shaft, a neck, and a head. Treatment Treatment of an acute Jones fracture consists of immobilization with a cast. Hypertension: Can 15 minutes of yoga a day help control blood pressure? Toe and forefoot fractures. This article discusses what a Jones fracture is, the treatment options, and the recovery process. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. You can learn more about how we ensure our content is accurate and current by reading our. Jones fracture: symptoms and diagnosis. Moroz A. A mid-shaft fracture of the fifth metatarsal, also known as a dancers fracture, describes trauma or stress that usually results from trauma or twisting. metatarsal fractures are divided into 3 zones, each with their respective management and potential complications. American Journal . Jones Fracture Type of Procedure: Outpatient surgery Length of Procedure: 1 hour Anesthesia: General or IV sedation with a nerve block Because of the location of the fracture in the fifth metatarsal bone, a Jones Fracture is a broken bone that has a higher likelihood of not healing (a "bad actor"). PMID: Dameron TB. Diagnosis. A Jones fracture has a higher risk of nonunion and requires at least six to eight weeks in a short leg non-weight-bearing cast; healing time can be as long as 10 to 12 weeks. In conclusion, we believe that patients with acute Jones fractures can be treated with WBAT. Glisson R . There are several methods you can employ to manage the pain and begin treating the injury, even before seeing a doctor. . 1995;3(2):1104. Athletes, especially basketball players, tend to get Jones fractures more often than other people. JONES FRACTURE By: Robert H. Sheinberg, D.P.M., D.A.B.P.S., F.A.C.F.A.S. variable pitch screws, and 6.5-mm cancellous screws in acute Jones fracture s. Sides SD . It bulges slightly at its base, while the other metatarsals do not. Also, Dancer's foot corresponds to a fracture of the middle of the . For the purposes of this review, the Jones fracture is referring to as a fracture of the meta- 2015 Dec;8(6):454-9. doi: 10.1177/1938640015592836. The epidemiology of fifth metatarsal fracture. This site needs JavaScript to work properly. PMC After reporting to your healthcare provider or the hospital and if a Jones fracture is suspected, an X-ray will most likely be taken to see the bones of your foot. A doctor may also advise using some ankle and foot exercises to encourage healing and help with the range of motion. Eur J Trauma Emerg Please enable it to take advantage of the complete set of features! Jones fractures can happen to anyone, but they are especially common in athletes such as football, basketball, or . PMID: Your email address will not be published. This procedure is used to correct a Jones fracture -a fracture of the fifth metatarsal bone of the foot. The patients were distributed into two groups according to the type of treatment: the group treated by a below-knee walking cast (CG) and the group managed by functional elasticated bandaging (FG) with the support of a flat hard-soled shoe. 2015;17:207. doi:10.1186/s13075-015-0738-7. HHS Vulnerability Disclosure, Help How to be non-weightbearing after surgery. The metatarsal bones help people balance while standing and walking. Return to Weightbearing and High-Impact Activities Following Jones Fracture Intramedullary Screw Fixation. and transmitted securely. 1995;3(2):1104. 2018 May-Jun;57(3):489-493. doi: 10.1053/j.jfas.2017.11.005. American Academy of Orthopaedic Surgeons. After reduction, your healthcare provider will probably put your foot in a cast to help immobilize the fracture while it heals. Classically, treatment consists of weight bearing restrictions in a cast or surgical fixation. During the procedure, the surgeon uses X-rays to ensure proper screw placement. Orthopaedic surgeon and war hero: Sir Robert Jones (18571933). Bica D, Sprouse RA, Armen J. When it involves its reputation, jones fracture treatment protocol for treatment. It is characterized by a break in the area where the base of the metatarsal connects with the shaft of the smallest toe. The most important component of your rehab for a Jones fracture is exercise. Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy. 2018 May-Jun;57(3):489-493. doi: 10.1053/j.jfas.2017.11.005. Epub 2020 May 30. An official website of the United States government. Multiple studies have reported high rates of union with surgical fixation. If you have injured your foot or if you have developed these symptoms, it is important that you visit your healthcare provider or emergency department immediately. This is common after a Jones fracture. Rehabilitation Protocol for Ankle Fracture with ORIF This protocol is intended to guide clinicians through the post-operative course for an ankle fracture with ORIF. eCollection 2021 Sep 18. Due to a lack of clear guidelines, it can be difficult for the multiple medical specialties involved to evaluate and treat this injury. Epub 2016 Jan 18. Federal government websites often end in .gov or .mil. Treatment of Jones fracture nonunions and re fracture s in the elite athlete: . With the percutaneous injection, it could be possible to avoid risks of operative complications, and any additional financial, physical and emotional burden that would come with a nonunion. Clipboard, Search History, and several other advanced features are temporarily unavailable. When your healthcare provider removes your cast, you may have some swelling around your foot and ankle. They happen when you break your fifth metatarsal the bone that joins your pinkie toe to the base of your foot. World J Orthop. sharing sensitive information, make sure youre on a federal Online ahead of print. 2016;7(12):793-800. J Foot Ankle Surg. If an injury is acute, which means it happens suddenly rather than over an extended period, seek medical care promptly. When a Jones fracture occurs because of a traumatic event, it's usually because of a type of inversion sprain. Walking gait before and after chiropractic care following fifth metatarsal fractures: a single case kinetic and kinematic study. Therefore, a screw implant specifically designed for the operative treatment of a Jones fracture has been developed. Keywords: Hip Fracture Prevention; Hip Fracture Treatment with Surgical Screws; Internal Screw . sharing sensitive information, make sure youre on a federal Therefore, we treat these fractures with a walking boot. 5th Metatarsal/Jones Fracture Repair Rehabilitation Protocol . They may also take pain killers to help with any pain. 2018;57(3):489-493. doi:10.1053/j.jfas.2017.11.005. Rates Cheapest Life Insurance. Our study suggests that non-operative management of minimally displaced Jones fractures, in the adult, low demand population, without weight bearing restrictions in a walking boot offers similar outcomes to cast immobilization with weight bearing restrictions, resulting in bony union or asymptomatic fibrous nonunion. Your Jones fracture should be completely healed approximately three months after injury, depending on the severity of the fracture. Rehabilitation and Healing Time After a Jones Fracture. Bethesda, MD 20894, Web Policies A doctor may initially recommend nonsurgical options, which may take 68 weeks to heal. If the fracture does not appear to be healing, then a doctor may recommend surgery. If a Jones fracture is confirmed, the fracture must be reduced, which is the process where the bones are put in the correct place. MNT is the registered trade mark of Healthline Media. Failure to get proper treatment for your foot can cause permanent loss of function. The .gov means its official. Please use the picture below to understand where this injury is. Early weightbearing protocol in operative fixation of acute Jones fractures. Specific to fracture is high forces acting on precise location of jones fracture treatment protocol and wearing a standardized protocol. HHS Vulnerability Disclosure, Help Learn about Jones fracture treatment and Jones fracture symptoms from Georgia's most dependable physicians. Looney AM, Renehan JR, Dean DM, Murthy A, Sanders TH, Neufeld SK, Cuttica DJ. Careers. Complete radiographic union was noted in 13 (48%) patients, and 13 (48%) others had made significant progress toward radiographic union but had not yet reached it. Diaphyseal fracture: The patient is nonweightbearing in a. below-the-knee cast until radiographic union occurs (usually 8 weeks), followed by 6 weeks of limited activity. Cancer treatment shows promise against multiple sclerosis in mouse study, Alzheimer's: Blood test may detect 'toxic' protein years before symptoms emerge, Low levels of vitamin D in the brain linked to increased dementia risk. A Jones fracture can occur when the foot twists. Conservative 2016;7(12):793-800. doi:10.5312/wjo.v7.i12.793, Waverly BJ, Sorensen MD, Sorensen TK. In our clinical experience, an aggressive postoperative rehabilitation protocol for National Football League (NFL) players with an average return to play (RTP) between 8 and 10 weeks can have successful outcomes with few complications. Userform Invoice In. A Jones fracture occurs in the zone between the shaft and the tip of the bone. Due to high risk of morbidity of missed Jones fracture, if youre unsure. To make a formal diagnosis of a Jones fracture, the doctor will: Since there is limited blood flow to the area, a Jones fracture may take longer than 8 weeks to heal. Overall, patients with avulsion fractures have excellent outcomes and weight bearing as pain allows with a supportive device is usually recommended. 2022 Dotdash Media, Inc. All rights reserved. Merck Manual. [3] Onset is generally sudden. Granata JD, Berlet GC, Philbin TM, Jones G, Kaeding CC, Peterson KS. official website and that any information you provide is encrypted This can either be a stress fracture, which is a tiny hairline break that occurs overtime, or an acute break that is caused due to a sudden traumatic impact. After surgery, physical therapy and further surgeries may be needed. and transmitted securely. World J Orthop. Great toe. As these bones get much more use than other bones, it is easy to injure them through overuse. Even after a period of immobilization, there still may be a pain in your foot and ankle after a Jones fracture. As you use your foot more and start putting more and more weight on it, some of the muscles and joints in the foot may become sore. One patient (4%) developed nonunion. World J Orthop. 8600 Rockville Pike For example, ankle sprains cause avulsion fracture of the 5th Metatarsal. Arthritis Res Ther. This fracture is different from other fractures in the little toe. This is the bone on the outside of the foot, which is connected to your smallest toe, sometimes . Jones Fracture Exercises and Treatment Strategies | [P]rehab Learn the best Jones fracture exercises, its causes and symptoms, and treatment to get you back on your feet and stronger than ever! Your physical therapist may prescribe exercises to help with swelling. Two (8.3%) patients were lost to follow-up. However, a person may experience pain and swelling for a few months after. After a Jones fracture and wearing a cast on your foot and ankle, your ankle and foot joints may have become tight. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2006;27:172-174. Non-surgical treatment for a Jones fracture includes the RICE method (rest, ice, compression, elevation), immobilization (cast, boot, stiff-soled shoe, crutches), and bone stimulation. They may also use physical agents like heat or ice, or physical modalities like electrical stimulation may be used to help manage swelling. It is slightly different from the other metatarsal bones. All content is strictly informational and should not be considered medical advice. If athletes, which sports do they do? If surgery is necessary, it may take a further 8 weeks to recover. Operative treatment with intramedullary screw fixation has become the ideal accepted care for the fifth metatarsal Jones fracture in the athlete 5 (Fig. As such, a doctor may suggest repeat X-rays to monitor recovery and ensure appropriate healing. Sorensen MD . J Multidiscip Healthc. How Viagra became a new 'tool' for young men, The amazing story of hepatitis C, from discovery to cure, Ankylosing Spondylitis Pain: Fact or Fiction, nonsteroidal anti-inflammatory drugs (NSAIDs), https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251206, https://uihc.org/health-topics/jones-fracture, https://www.esht.nhs.uk/wp-content/uploads/2017/06/0591.pdf, https://www.esht.nhs.uk/wp-content/uploads/2017/06/0590.pdf, https://www.foothealthfacts.org/conditions/fractures-of-the-fifth-metatarsal, https://www.esht.nhs.uk/wp-content/uploads/2017/06/0596.pdf, https://www.footcaremd.org/resources/how-to-help/how-to-be-non-weightbearing-after-surgery, https://www.rcseng.ac.uk/library-and-publications/library/blog/sir-robert-jones, https://journals.sagepub.com/doi/full/10.1177/2325967120947725, https://www.ncbi.nlm.nih.gov/books/NBK549872, https://orthoinfo.aaos.org/en/diseases--conditions/toe-and-forefoot-fractures, https://www.sciencedirect.com/science/article/abs/pii/S1268773120301818, https://www.ncbi.nlm.nih.gov/books/NBK544369, https://www.footcaremd.org/conditions-treatments/midfoot/fifth-metatarsal-fracture-surgery, https://www.connecticutchildrens.org/search-specialties/sports-medicine/sports-medicine-injury-information/sports-medicine-injuries-by-location/sports-medicine-jones-5th-metatarsal-fracture, https://www.footcaremd.org/conditions-treatments/midfoot/jones-fracture. A Jones fracture, also called a fifth metatarsal fracture, is a break near the base of the long metatarsal bone on the outside of the foot. Only two (13.3%) of the 15 patients with partial union were seen at least six months from time of injury, one of whom had ongoing pain but declined surgery. Fractures of the fifth metatarsal. The site is secure. General Sides SD, . (n.d.). Scar tissue massage may be prescribed to help improve the mobility of your scar.. University of Pittsburgh Medical Center. The location of the fracture must be carefully evaluated since the treatment for a Jones fracture is radically different from fractures of the shaft of the fifth metatarsal. Treatment of avulsion fractures (pseudo-Jones fractures) tends to be with walking boots, casts, hard soled shoes, or bracing depending on the patient's symptoms. The fracture occurs especially in highly active individuals. In these circumstances, a person may require additional surgery. Sometimes the Jones Fracture can be treated through rest and rehabilitation. Published by Elsevier Inc. All rights reserved. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. A Jones fracture can be troublesome and is often slow to heal. Dameron TB. Osteomyelitis occurs when bacteria or fungi enter tissue from the bloodstream, usually following injury or surgery. Use a jones fracture depends on a foot fracture treatment. Required fields are marked *. Weight-bearing or non-weight-bearing after Surgical Treatment of Ankle Fractures: A Multi-Center Randomized Trial. Accessibility This fracture takes its name from the orthopedic surgeon, Sir Robert Jones, who first reported and treated the injury in 1902. Some studies have assessed immediate weight bearing following a Jones fracture. Foot Ankle Int. Supplements for heart health: Which ones are beneficial and which ones are not? Isaac, S. (2018). 2016 May;37(5):488-500. doi: 10.1177/1071100715625290. Failed Surgical Management of Acute Proximal Fifth Metatarsal (Jones) Fractures: A Retrospective Case Series and Literature Review. A Jones fracture has many of the same symptoms as other types of fractures. (n.d.). Your physical therapist may use heat, ice, or TENS to help control your pain., When you are immobilized in the cast, your muscles are not being used and therefore may become weak. A fracture is a break in the continuity of a bone. Bowes J, Buckley R. Fifth metatarsal fractures and current treatment. Mortons neuroma is a painful but benign growth of nerve tissue in the foot. The healing time for a Jones fracture depends on the treatment method, the severity of the fracture, and the individual. You will usually be non-weight bearing, which means that you cannot put your foot on the floor and bear weight on it. A Jones fracture is often mistaken for a sprain or an avulsion fracture. Non-surgical Jones Fracture Treatment Options. Common impairments measured and treated after a Jones fracture include the following. This review of patients undergoing early weightbearing after operative fixation of an acute Jones fracture demonstrated a satisfactory incidence of union compared with traditional postoperative protocols at a mean followup duration of 18.58 5.66 months. The RICE method involves: While a Jones fracture is often slow to heal, in some cases, it may not heal at all. Doctors classify a mid-shaft fracture as zone 3. A Jones fracture occurs when the bone known as your fifth metatarsal breaks. Fracture of the base of the 5th metatarsal (Jones). Open reduction and internal fixation with the use of an intramedullary screw and supplemental calcaneal autograft is a successful treatment option for the management of Jones fracture nonunions. 1 A Jones fracture is a break in the fifth metatarsal, a bone of your foot that connects your pinky toe to the rest of your foot. You will need to use crutches for the initial healing phase, which may be six to eight weeks. One patient (4%) developed nonunion. You should not place weight on your foot until you are given the green light by a healthcare provider. This is followed by gradual weight bearing, as tolerated, in a cast or walking boot. What causes the outside of your foot to hurt? Foot Ankle Spec 2015; 8: 3549. [2] There may also be bruising and difficulty walking. 47 were treated weight bearing as tolerated (WBAT) in a walking boot and eight were treated non-weight bearing (NWB) in a cast. Zanier E, Bordoni B. Of California. Thirty (66.7%) patients in the WBAT group demonstrated radiographic union on final radiographs. Careers. In the general public, a Jones fracture is placed in a walker boot. Teichtahl AJ, Wluka AE, Wijethilake P, Wang Y, Ghasem-zadeh A, Cicuttini FM. . Please enable it to take advantage of the complete set of features! In these cases, a doctor may recommend surgery or using a bone stimulator to encourage healing. The https:// ensures that you are connecting to the They may prescribe exercises to be done as part of a home exercise program. 2015;8:359-63. doi:10.2147/JMDH.S87845. For inclusion, patients were required to have (1) a Jones fracture defined by involvement of the fourth-fifth intermetatarsal articulation, (2) an orthopedic evaluation within seven days of the acute injury, (3) a completed medical history, (4) a foot and ankle examination, (5) serial radiographs, and (6) non-operative treatment. Extended non-weightbearing can have adverse effects, and operative treatment poses various risks. Treatment will depend on several factors, including the: In some cases, an orthopedic surgeon may initially recommend treating a Jones fracture without surgery. The site is secure. Treatment of pain and inflammation. PMID: Kane JM et al. Jones fractures, or proximal metatarsal fractures at the level of the fourth and fifth intermetatarsal junction, have a high risk for nonunion due to a vascular watershed region. The fracture occurs in the area between the base (metaphysis) and shaft (diaphysis) of the fifth metatarsal, known as the metaphyseal-diaphyseal junction. Foot Ankle Spec 2015; 8: 3549. Buyout. Named after Sir Robert Jones, the first orthopedic surgeon who reported and treated the injury, the fracture occurs between the base and shaft of the fifth metatarsal bone in the foot. Jones fracture, also known as 5th metatarsal fracture occurs in a small area of the fifth metatarsal that receives less blood and therefore is more prone to injury. There is also a risk of reinjury. Wolff's law in action: a mechanism for early knee osteoarthritis. There are many different types of fractures. 2018 Jan 10;7(3):532-540. doi: 10.11138/mltj/2017.7.3.532. Athletes can usually return to activity . The epidemiology of fifth metatarsal fracture. Bookshelf Screw fixation is thought to. People should also seek urgent medical attention if any of the following symptoms occur: A medical professional can determine whether a person has a Jones fracture or another type of metatarsal fracture and can provide appropriate treatment. An official website of the United States government. Exercises after a Jones fracture are geared to help improve the range of motion and strength around your foot and ankle. This is important to help overcome the negative effects of being immobilized while things were healing. A Jones fracture is a horizontal or transverse fracture at the base of the fifth metatarsal. It is mostly caused due to overuse, repetitive stress or trauma. It is a common injury in many athletes. How Is Physical Therapy Used After a Total Ankle Replacement? J Am Acad Orthop Surg. Return to play and performance after Jones fracture in National Basketball Association athletes. Mulcahey, M. K. (2021). Testimony. Before Bookshelf Mechanism Sometimes, scar tissue forms there and prevents the skin and underlying tissue from moving normally. The issue most often encountered with an immobilization boots is . eCollection 2017 Jul-Sep. Early Weightbearing Protocol in Operative Fixation of Acute Jones Fracture s. Waverly BJ . . Questionnaire. (n.d.). Thank you, {{form.email}}, for signing up. The .gov means its official. This means that the surgeon can operate on a person on an outpatient basis, using general or local anesthesia. After a few weeks of physical therapy, your pain level should be at a minimum and your strength and range of motion in your foot and ankle should be normal. Your physical therapist will progress your program at a pace that is suitable for you to ensure that you return to your previous level of function quickly. This type of sprain happens when your foot is turned inwards toward your other foot. Fracture of the mid-shaft of the 5th metatarsal (self-management). Rosemont IL: AAOS 1994, Petrisor BA, Ekrol I, Court-Brown C. The epidemiology of metatarsal fractures. When a break occurs in the bone that runs along the outside of the foot, from the baby or pinkie toe to the ankle, it may be a Jones fracture. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. Treatment of Acute Jones Fractures Without Weightbearing Restriction Treatment of Acute Jones Fractures Without Weightbearing Restriction J Foot Ankle Surg. Players often push or shove each other while in the air and often land awkwardly, with their feet striking the floor in an abnormal or uncontrolled manner. Is Physical Therapy Needed After Bunion Surgery? official website and that any information you provide is encrypted Unable to load your collection due to an error, Unable to load your delegates due to an error. It may also take up to 4 months to return to sporting activities. This protocol results in rapid clinical union and a low rate of nonunion. PMID: 16539897, Thordarson DB. [4] It results in pain near the midportion of the foot on the outside. Therefore, you will most likely need an assistive device, such as crutches or a walker, to walk. The metatarsal have a number from one to five, from the big toe to the small toe. A Jones fracture can be a painful injury and can limit your ability to move around normally. Toe and forefoot fractures. The main focus is on treating fracture patterns, such as the Jones fracture, which are at high risk of nonunion or delayed union with nonoperative treatment. 13, 15, 17 - 20 Referral should be considered for patients who are highly active and patients who want to minimize the . A Jones Fracture is a common fracture of the fifth metatarsal of the foot. Your fifth metatarsal is the bone that connects your little toe to the rest of your foot. Fifth metatarsal fracture; Functional treatment; Jones fractures; Outcomes. During this recovery period, a doctor will assess how the fracture is healing and whether a person will require surgery. 2020 Nov;41(11):1325-1334. doi: 10.1177/1071100720938317. Adequate union rates for the treatment of acute proximal fifth metatarsal fractures. Federal government websites often end in .gov or .mil. O'Malley M, DeSandis B, Allen A, Levitsky M, O'Malley Q, Williams R. Foot Ankle Int. Authors In addition to Jones fracture, there are other types of fifth metatarsal fracture. We examine the facts about fractures in this article. A Jones fracture is a common type of metatarsal fracture that occurs in the bone on the outer side of the foot. Once your physical therapist has gathered information about your condition, they will then work with you to develop an appropriate treatment plan. A Jones fracture is a common type of metatarsal fracture that occurs in the bone on the outer side of the foot. Early Weightbearing Protocol in Operative Fixation of Acute Jones Fractures. Copyright 2016 American College of Foot and Ankle Surgeons. It is one of the most common fractures of the . Epub 2015 Jun 30. 2016; 37 (5 . It usually occurs after jumping up and landing forcefully on your foot. Sometimes, the simple act of running can cause microtrauma to the fifth metatarsal, and a Jones fracture may occur. Foot Ankle Spec. The area of the Jones fracture has a very small blood supply. This is why it's important to have your injury diagnosed as soon as possible. Jones fractures commonly occur in professional athletes and operative treatment remains the standard of care in this patient population. Treatment. Epub 2016 Jun 11. The typical signs and symptoms of a Jones fracture include, but are not limited to:. Mariners Notice . Patient may be in a removable boot after surgery for a week or two at the direction of the physician. On the other hand, most surgical procedures present greater risks of other problems occuring than does conservative treatment. - experimental Jones fractures were created in 23 pairs of human cadaver fifth metatarsals, which were fixed using either 5.0 mm or 6.5 mm screws; - frx stiffness and pull-out strengths were measured for either screw type and relationships with bone density and canal diameter were determined; (2021). Muscles around your ankle, foot, and toes may also have become tight, so flexibility and range of motion exercises may be necessary to help improve your mobility.. Disclaimer, National Library of Medicine Treatments for fifth metatarsal fractures include: Immobilization: If your bones are in place (aligned), your provider may suggest immobilization. Russell BS, Hoiriis KT, Hosek RS. Classification and guidelines for non-surgical and surgical management. . As you heal, other exercises to improve balance and plyometric exercises may be necessary to ensure that you are able to stand, walk and run normally. During this procedure, the surgeon inserts one or more screws (and sometimes additional hardware)to stabilize the bone and allow it to heal properly. view and guidelines on treatment of base of 5th metatarsal fractures [6, 14, 21, 25, 33] but to date, to the authors knowledge, there has never been a systematic review detailing treatment in different types of Jones fracture in the modern literature. A Jones fracture will usually take about 6 weeks to heal. All rights reserved. There may be snapping or popping felt when a fist is made. Failed Surgical Management of Acute Proximal Fifth Metatarsal (Jones) Fractures: A Retrospective Case Series and Literature Review. As a result of poor blood supply, it is slow to heal. Doctors classify an avulsion fracture as zone 1. Surgeons commonly repair these fractures by inserting a screw, rod, or plate. Verywell Health's content is for informational and educational purposes only. government site. Thevendran, G. (n.d.). PMID: Petrisor BA, Ekrol I, Court-Brown C. The epidemiology of metatarsal fractures. Proximal fifth metatarsal stress fractures; screening and treatment for incomplete fractures. Jones fracture: Most are treated with a nonweightbearing below-the-knee cast for 4-6 weeks. Both treatments began in the emergency department after the trauma. Diagnosis and management of common foot fractures. 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